Individual
ANDERS WILLADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1617 S OAKDALE DR, YORKTOWN, IN 47396-1048
(765) 730-1759
Mailing address
1617 S OAKDALE DR, YORKTOWN, IN 47396-1048
(765) 730-1759
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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